Identifying Staff-Level Correlates and Factors of Nursing Teamwork in a Military Hospital
Abstract
Despite a system wide focus on team STEPPS training, the perception of teamwork is lower in military hospitals than in civilian hospitals (DoD, 2014). Furthermore, lower perceptions of teamwork in military hospitals have persisted over the past 10 years. Studies of nursing teamwork indicate that characteristics of the nursing staff may influence nursing teamwork (Kalisch and Lee, 2009; Kalisch and Lee, 2013). Military nurses are more likely to be male, have expanded roles, and have less experience than civilians (Patrician et al., 2010). The military is a hierarchical organization and each military service has a unique mission, which may further influence nursing teamwork. However, little is known about nursing teamwork in military hospitals and what staff (gender, nursing role, experience, absenteeism, staffing adequacy) and military characteristics (personnel category, service affiliation, pay grade, and perception of leadership behavior) are associated with nursing teamwork in this setting. This conceptually driven cross-sectional study using survey methodology was used to identify correlates and factors of nursing teamwork from a convenience sample of approximately 703 nursing staff of 15 patient care units at a large military hospital resulting in a 32.3 return rate. After exclusion of 39 incomplete surveys, the final sample size for data analysis was 185 surveys. Multiple regression analysis was used to explore factors of nursing teamwork from staff characteristics and military characteristics. Leadership behavior was calculated as a composite score and as leadership factor scores (leading and being a member). Separate regression models for the leadership composite score and leadership factor scores (leading and being a member) were built. The findings indicated that regression models were significant at p < .001, and explained 45 to 48 of the variance in nursing teamwork. The significant variables for the models were nursing role,
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 18, 2015
- Accession Number
- AD1127848
Entities
People
- Carla Dickinson
Organizations
- Uniformed Services University of the Health Sciences